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,! � 7 3 ,�J—, <br /> 5 �.Priehe4F+7�29d ' � / � (��"� / <br /> W.U.Form J <br /> GITY OF EVERETT--Water Dept. <br /> °,/ <br /> �, —� � � � :. <br /> F oplication No�.��.,�`:�. �Da e._.....�-. ..�`...'..'........----....19..-•-- <br /> � � Install..._'J�---�-��-���.inch water service pipe <br /> For ....�'.t:'.E:::��,i%.o-��-,�::��...:t�:'q-:�..G f�:r..................-" <br /> On ....�:�'..r.'.J.�'-�"S..T...:`�:`.::.................�....---...... <br /> . _ Street <br /> Lot...,::��.:�:.:-..--��j��1`�-�-��...._..... Block No........-----.....---�............. <br /> Addition .. ... ...... <br /> .............�................................................... ...... ............ <br /> - -- .�-. . <br /> Remarks ~ � <br /> --.....�.::��.z...�...La...r°.�'.n._�..:s^::��c..�.....d-....._�........... <br /> ...... _....__...................................................,.._- •--.................................---...... <br /> , <br /> � A .L,� ii- % _.�., ,. ............................................ <br /> ......._ ___... ... , <br /> ........... . . ._ ..........................................--........:.._--..... <br /> ...... ...�-..........-�---..... <br /> .� i.J f .7/ ....�.................... - ....... � �_i ''^ �l:.�.---:....-- <br /> /.:t....... . ... �i.......... y........... <br /> �� /,i�Supelnntendent <br /> � �/ �7 <br /> _�;— + <br /> . � ' - %IL"" <br /> �'��,,,)�� , ' ,� ' .� LABOR. AND MATEftIAL DSED _ <br /> � S^"� � , ,•. . � -- <br /> _��. <br /> 1 .__•_-,N Size ----- <br /> .,. � � <br /> �..._. .....�.::... �: ..._..............!I L�e2d Connectian ComPlete <br /> . .. , :, <br /> .s _..C:..:..:.:.`.:.. ................._......'� Sad91c Complete <br /> �n-.��� � ...........................................................Pipe <br /> .............':...... t.........................._� ............ <br /> ..................................................... <br /> Sc:vicc Cock <br /> .__.._..............__...._..._............... Scrvice Box <br /> �..��.��...�.�....._... �.............-..._...I �..�............_.�....�..........._..... .�..................._......_._............................... <br /> ...........I.. ... ... ... <br /> ...... ............. . ........ ......... .. .... . <br /> 1To. Iiours Lzbor.............................................Cost.................................................... <br /> Cut :n......._....._...Pavcr.�:nt...................X........................ ........................Sq.Ft. <br /> ....................X........................ ........................ ,� <br /> . <br /> .....................1........................ ........................ <br /> ' . �� <br /> ....................�........................ ...................... <br /> � Total ..:..........._,......Sq.Ft. <br /> -_-.__.�•_�------�_------_ � — - — <br /> ------- � _ ., . . <br /> ,amarlcs._i1.......... _:..r........:_.................... ...........�!.............. <br /> I ` ' -•--...... <br /> _................_..._........._......................................_...............,....,......._.... . <br />� . <br /> __...............t......'`._...�................................................'.....,,.........................- � <br /> II� Order i=.:�ccived......................-- ..........:........._.....:....................._......� <br /> '7arl: Cmm��et��l...,�.::.........:....................._...._..._.._.................. .. <br /> Foreman <br />